Event Registration: APEX Annual Symposium 2010

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	* Required
	Mr. Ms. Mrs. Dr.
* First Name:
* Last Name:
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Food Allergies:
Other needs or requests :
Registration Fees (#GST: 123942153RT)
	Member - 1071.43$ + 53.57$ (GST) = $1125.00 Member outside NCR - 976.19$ + 48.81$ (GST) = $1025.00 Non-member - 1285.71$ + 64.29$ (GST) = $1350.00 CAP-MTP - 1071.43$ + 53.57$ (GST) = $1125.00

National Arts Centre - 53 Elgin Street, Ottawa Ontario on 6/1/2010